R388-805-3. Nature of Program and Benefits

  (1) The Ryan White Part B Program provides reimbursement to providers for services rendered to HIV positive individuals who meet the eligibility requirements. The Ryan White Part B Program provides limited services as described in this rule. The Department provides reimbursement coverage under the program only for services for each program:

  (a) as provided in law governing the Ryan White HIV/AIDS Treatment Extension Act of 2009;

  (b) to the extent that it has agreed to reimburse providers with whom it contracts to provide services; and

  (c) as limited in its agreements or contracts with providers.

  (2) Within available funding, the Department provides Core Medical and Supportive Services as allowable under the legislation;

  (a) The AIDS Drug Assistance Program (ADAP) provides HIV related medications, health insurance premium, and cost-sharing assistance.

  (b) Supportive Services Program provides a variety of supportive services that enable the client to access medical care as well as to retain the client in medical care.

  (3) The Department may adjust the services available to meet current needs and fluctuations in available funding.

  (4) The Ryan White Part B Program is not health insurance. A relationship with the Department as the insurer and the client as the insured is not created under this program.